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Hans Castelijns

D. V. M. - Certified Farrier

Table 2:
Therapeutic shoeing techniques for DIP-PIP artrosis and for podotrocleosis.

Condition: DIP, PIP artrosis and / or podotrocleosis,

Intolerance to:

Works on surface

Shoeing , trimming techniques

e.g. single collateral ligament lesion , single lobe of distal DDFT.., single collateral ligament of Nav.

Lateral or median elevation

deep

Narrow web shoe, beveled ground surface on the side of intolerance , wider ground surface on the opposite side, short hooves , short shoeing intervals. [fig.9]

compact

  • flexible shoes ( e.g. Flaps, easy walker) .[ fig.10].
  • strongly beveled ground surface ( outside rim) on the side of intolerance.
  • Rockered ipsilateral toe shoe ( “ French rockered toe “).
  • Full rolling motion shoes, slightly displaced towards the opposite side of the intolerance. Note:Short intervals do not leave heels too long / high, specially in the case of dorsal entheseophytes.

e.g. DIP artrosis artritis

Lateral and medial

deep

  • short, barefoot trim, well rounded borders not too much heel.
  • Flexible shoes, short shoeing intervals
  • Half round section shoes, tightly fit ( e.g. classic roller or eventer). [ fig.11].

compact

  • “French rockered toe” ( rocker goes from quarter over the toe to opposite quarter; heels stay flat.
  • Half round section shoes.
  • Full rolling motion shoes ( e.g. “rock n roll”, PG shoes ).[fig.12 a,b.]

Note: consider shock absorption ( aluminum, pads), keep shoeing intervals short , do not set the shoes too wide .

e.g. NAV. Bursitis

Distal DDF tendonitis impar lig. Desmitis.

Dorsal extension

deep

  • rolled-rockered - set back- toe shoes.
  • the same plus egg bar.
  • Reverse shoeing. [fig.13].

compact

  • rolled-rockered toe.
  • Blunt- set back toe, e.g. NBS or Sagittal.[fig.14,a,b]
  • Aluminum square toed ( wear is faster in the toe between shoeing intervals).
  • Shock absorbing pads, mild frog support pads ( test for sensibility of the frog area).
  • Full rolling motion shoe’s with the ground area at the toe strongly beveled; the higher total thickness of the shoe permits an extreme rolled toe .

e.g. DIP arthrosis and podotrocleosis

Dorsal extension and lateral and medial elevation.

deep

  • Set back shoe (blunt toe) with beveled ground edges and egg bar.
  • Palmar frog and sole support. ( less heel penetration).
  • Full rolling motion shoe with heel bar. [fig.15]

compact

  • Full rolling motion shoe, with small central base, well set back.
  • Shock absorbing pad if sensitive to hammer blows to the shoe, short shoeing intervals.
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